LYUDMILA G JOHNSON (NPI# 1124244298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124244298 |
| Entity Type | Individual |
| Full Name | LYUDMILA G JOHNSON |
| Other Name | LYUDMILA G PETROVSKAYA |
| Credential | LMP |
| Practice Address |
2607 Bridgeport Way W 2h1 University Place WA 98466-4700 |
| Mailing Address |
2607 Bridgeport Way W Suite 2h1 University Place WA 98466-4700 |
| Practice Telephone | 2534601824 |
| Practice Fax Number | 2534601920 |
| Mailing Telephone | 2534601824 |
| Mailing Fax Number | 2534601920 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2015-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA00022715 | WA | Other Service Providers |
| Street Address |
2607 BRIDGEPORT WAY W 2H1 |
| City | UNIVERSITY PLACE |
| State | WA |
| Zip Code | 98466-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023050523 | Sound Psychological Associates Ps | Psychologist | 2607 Bridgeport Way W, 2e2, University Place, WA 98466-4700 | 2006-06-11 |
| 1154841039 | Children's Therapy of Puget Sound | Occupational Therapist | 2607 Bridgeport Way W, University Place, WA 98466-4700 | 2017-06-22 |
| 1639569775 | Healthy Self Naturopathic Services | Naturopath | 2607 Bridgeport Way W, Ste 1c, University Place, WA 98466 | 2015-01-28 |
| 1922372309 | Healthy Self Naturopathic Services, LLC | Non-Pharmacy Dispensing Site | 2607 Bridgeport Way W, Suite 1c, University Place, WA 98466-4700 | 2012-03-01 |
| 1811151285 | David L Ray | Speech-Language Pathologist | 2607 Bridgeport Way W, #1-h Professional Hearing and Speech Services Inc, University Place, WA 98466-4725 | 2008-07-15 |
| 1003016692 | Melody E Norwood | Specialist | 2607 Bridgeport Way W, Suite1-d, University Place, WA 98466-4700 | 2007-07-20 |
| 1700080868 | Professional Hearing and Speech Services Inc | Speech-Language Pathologist | 2607 Bridgeport Way W, #1h, University Place, WA 98466-4725 | 2007-06-13 |
| 1609901545 | University Place Chiropractic Inc | Chiropractor | 2607 Bridgeport Way W, Suite 1d, University Place, WA 98466-4700 | 2007-02-22 |
| 1346381910 | Sarah Allison Perkins | Specialist | 2607 Bridgeport Way W, 1a, University Place, WA 98466-4700 | 2007-02-08 |
| 1619021631 | Ji Young Kim-aun | Dentist | 2607 Bridgeport Way W, Suite 1k, University Place, WA 98466-4700 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499215 | Julie Mccartney | Counselor | 7610 40th St W Ste 20, University Place, WA 98466 | 2019-07-19 |
| 1033682752 | Jms Corporate Services Group | In Home Supportive Care | 2621 70th Avenue West, Suite C, University Place, WA 98466 | 2019-01-04 |
| 1992270243 | Kathleen Marie Kulman | Massage Therapist | 4113 Bridgeport Avenue, Suite B, Tacoma, WA 98466 | 2018-10-12 |
| 1518441674 | Michala Lin Dymond-shaw | Speech-Language Pathologist | 3725 Grandview Dr W, University Place, WA 98466 | 2018-09-24 |
| 1770001133 | Micky Patrick Cates | Physician Assistant | 1924 70th Ave West, Apt E5, University Place, WA 98466 | 2017-09-06 |
| 1386160984 | Stephanie Herrala | Dentist | Okubo Dental Clinic 11582 C St, Jblm, WA 98466 | 2017-08-16 |
| 1033581640 | Jay Hyuck Sung | Dentist | 3670 Bridgeport Way W, Unit B, University Place, WA 98466 | 2015-10-22 |
| 1174951867 | Adrienne Holliday | Occupational Therapy Assistant | 3717 Grandview Drive W, University Place, WA 98466 | 2013-10-16 |
| 1598106650 | Maricris Pang Espino | Registered Nurse | 1541 Cottonwood Avenue, Fircrest, WA 98466 | 2013-07-17 |
| 1417393653 | Nurhan Karakas | Counselor | 9330 59th Ave Sw, Lakewood, WA 98466 | 2013-05-15 |
| Find all providers in zip 98466 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500814 | Foundation Speech Language Learning | Specialist | 7406 27th St W Ste 24a, University Place, WA 98466-4636 | 2020-05-22 |
| 1427474980 | Tammy Lynne Gagnon | Specialist | 8425 40th St W, University Place, WA 98466-2041 | 2014-03-07 |
| 1417283557 | Lisa Ann Kingsley | Specialist | 7321 58th Street Ct W, #303, University Place, WA 98467-4723 | 2009-10-24 |
| 1750514832 | Ashley Elynn Elmer | Specialist | 8313 29th St W, Apt. C, University Place, WA 98466-2706 | 2009-08-24 |
| 1558590521 | Rachel Antonina Iacobazzi Riecan | Specialist | 8514 49th St W, University Place, WA 98467-1810 | 2009-07-10 |
| 1629266499 | Todd D Valentine | Specialist | 4009 Bridgeport Way W, Suite E-2, University Place, WA 98466-4326 | 2007-10-05 |
| 1205951910 | Pacific Northwest Plastic Surgery, Ps | Specialist | 5016 Bridgeport Way W, Suite A, University Place, WA 98467-2039 | 2007-03-20 |
| 1114066990 | Renee Charise Probst | Specialist | 4103 Bridgeport Way W Ste C, University Place, WA 98466-4332 | 2007-02-06 |
| 1922147016 | Bruce Edward Corns | Specialist | 4113 Bridgeport Way W Ste B, University Place, WA 98466-4325 | 2007-02-05 |
| 1942363619 | Sara Sloan Campbell | Specialist | 8404 27th St W, University Place, WA 98466-2723 | 2006-12-17 |
| Find all providers in UNIVERSITY PLACE | ||||
| City | UNIVERSITY PLACE |
| Zip Code | 98466 |
Please comment or provide details below to improve the information on LYUDMILA G JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.